QSi Application Form

Please ensure that the application form is completed in full online.

There are now two methods of payment for membership, prospective members can either pay online or send a printout of the remittance slip with a cheque for the appropriate level of membership required.

The QSi Accepts payment methods via Secure Trading

In the event of Application Form submission problems, please email admin@theqsi.co.uk.

Fields marked * are mandatory

Location Details
*Area of Residence
NOTE - you must select an area before completing the remainder of the form
Personal Details
*Surname
*Forename
*Gender
*Home Address
*Email Address
*Home Tel
*Country of Residence
Mobile Tel
Qualifications
Company Details
Company Name
International Region
Area (UK & Ireland only)
Company Category
Company Email
Company Telephone
Company Fax
Company Web Address (must begin http://)
Corporate Discount
Some companies have registered for corporate discounts. If you know your company and discount code please enter them below
Corporate Discount Company
Corporate Discount Code
Click here to check your discount code
Employment History
Complete each column listing jobs in reverse chronological order starting with your current employment.
Date From
Date To
MM
YY
MM
YY
Employer Details
Job Title & Responsibilitites
Date From
Date To
MM
YY
MM
YY
Employer Details
Job Title & Responsibilitites
Date From
Date To
MM
YY
MM
YY
Employer Details
Job Title & Responsibilitites
Date From
Date To
MM
YY
MM
YY
Employer Details
Job Title & Responsibilitites
Qualifications
Qualifications
Year of Attainment
Professional
Professional
Professional
Academic
Academic
Academic
Other/Experience
Year
Year
Year
Year
Year
Year
Year
References
Reference 1
Reference 2
*Name
*Professional Status
*Business Address
*Tel
*Email
*Name
*Professional Status
*Business Address
*Tel
*Email
Applicant's Declaration
I hereby apply online for membership of the QSi. As a Member of the QSi I undertake to comply with the Membership Rules and Regulations.

I declare that the statements on this form are true and I understand the references may be contacted.
*Name
*Date
*New Membership

The QSi processes member information in accordance with the Data Protection Act 1998. A copy of the full QSi Privacy Policy is available on request. Occasionally, where there is judged to be benefit to members, appropriate data may be passed to a third party.
If you wish to be excluded, please tick this box.
If you would like your company to be included in search results and listed in our member directory, please tick this box
Discount
If you have been supplied with a non corporate discount code, please enter it here.
Discount Code
Click here to check your discount code
Submittal